Related Experiment Video
Updated: Jun 24, 2026

Teasing Out the Interplay Between Natural Killer Cells and Nociceptor Neurons
Published on: June 30, 2022
Mycobacteria attenuate nociceptive responses by formyl peptide receptor triggered opioid peptide release from
Heike L Rittner1, Dagmar Hackel, Philipp Voigt
1Klinik für Anaesthesiologie mit Schwerpunkt Operative Intensivmedizin, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
Abstract:
In inflammation, pain is regulated by a balance of pro- and analgesic mediators. Analgesic mediators include opioid peptides which are secreted by neutrophils at the site of inflammation, leading to activation of opioid receptors on peripheral sensory neurons. In humans, local opioids and opioid peptides significantly downregulate postoperative as well as arthritic pain. In rats, inflammatory pain is induced by intraplantar injection of heat inactivated Mycobacterium butyricum, a component of complete Freund's adjuvant. We hypothesized that mycobacterially derived formyl peptide receptor (FPR) and/or toll like receptor (TLR) agonists could activate neutrophils, leading to opioid peptide release and inhibition of inflammatory pain. In complete Freund's adjuvant-induced inflammation, thermal and mechanical nociceptive thresholds of the paw were quantified (Hargreaves and Randall-Selitto methods, respectively). Withdrawal time to heat was decreased following systemic neutrophil depletion as well as local injection of opioid receptor antagonists or anti-opioid peptide (i.e. Met-enkephalin, beta-endorphin) antibodies indicating an increase in pain. In vitro, opioid peptide release from human and rat neutrophils was measured by radioimmunoassay. Met-enkephalin release was triggered by Mycobacterium butyricum and formyl peptides but not by TLR-2 or TLR-4 agonists. Mycobacterium butyricum induced a rise in intracellular calcium as determined by FURA loading and calcium imaging. Opioid peptide release was blocked by intracellular calcium chelation as well as phosphoinositol-3-kinase inhibition. The FPR antagonists Boc-FLFLF and cyclosporine H reduced opioid peptide release in vitro and increased inflammatory pain in vivo while TLR 2/4 did not appear to be involved. In summary, mycobacteria activate FPR on neutrophils, resulting in tonic secretion of opioid peptides from neutrophils and in a decrease in inflammatory pain. Future therapeutic strategies may aim at selective FPR agonists to boost endogenous analgesia.
Insights
Mycobacteria activate neutrophils via formyl peptide receptors (FPR), triggering opioid peptide release that reduces inflammatory pain. Targeting FPR may offer new pain relief strategies.
Area of Science:
- Immunology
- Neuroscience
- Pharmacology
Background:
- Inflammation involves a balance of pain-promoting and pain-relieving mediators.
- Opioid peptides, released by neutrophils, activate peripheral opioid receptors to reduce pain.
- Mycobacterium butyricum is used to induce inflammatory pain in animal models.
Purpose of the Study:
- To investigate if mycobacteria-derived agonists activate neutrophils via formyl peptide receptors (FPR) or toll-like receptors (TLR).
- To determine if this activation leads to opioid peptide release and subsequent inhibition of inflammatory pain.
Main Methods:
- Inflammatory pain was induced in rats using Mycobacterium butyricum.
- Neutrophil involvement was assessed via depletion and receptor antagonist studies.
- Opioid peptide release from human and rat neutrophils was measured in vitro.
- Intracellular calcium signaling and signaling pathway inhibitors were utilized.
Main Results:
- Neutrophil depletion, opioid receptor antagonists, and anti-opioid antibodies increased inflammatory pain.
- Mycobacterium butyricum and formyl peptides, but not TLR agonists, triggered opioid peptide release.
- Opioid peptide release was dependent on intracellular calcium and phosphoinositol-3-kinase (PI3K) signaling.
- FPR antagonists increased inflammatory pain, while TLRs were not implicated.
Conclusions:
- Mycobacteria activate neutrophils through FPR, leading to opioid peptide secretion and pain reduction.
- This mechanism highlights a novel endogenous analgesic pathway.
- Selective FPR agonists represent a potential therapeutic target for managing inflammatory pain.
Related Concept Videos
Nociception
Analgesia and Pain Management
Opioid Receptors: Overview
NF-κB-dependent Signaling Pathway
NF-κB-dependent Signaling Mechanism
The heterodimer of NF-κB...
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Inflammation
